Thank you for your question.
I am Dr Saha, I shall try my best to help you.
Feeling of nausea with anxiety along with left arm symptoms needs an urgent examination by doctor.
Heart diseases like angina or attack can present in this way too.
Though chest pain is the usual symptom but in women the symptoms can vary.
There may not be any chest pain.
Pain in the elbow radiating upwards the arm can be due to pinching of nerve, muscle cramps too.
However, she should get an examination by doctor asap & may need tests like EKG, blood test,etc.
She can take an aspirin if she has and proceed to ER.
Please feel free for any follow up query.
I hope this information helps.
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